harrison county - wedco health€¦ · turned out was 58.9 percent. o t h er so cial e n viro nm e...

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Social Environment Poverty County Health Rankings American Fact Finder Childhood Poverty Family Poverty Income Inequality U.S. adults with high school & some or college grad is 27.5 and 59.5 percent. The U.S. Status Dropout Rate was 4 percent between 2013 to 2016. The U.S. Graduation Rate from 2013 and 2017 ranged between 79 to 83 percent. Education Graduation Rate Dropout Rate Attainment (>25yr) Harrison County County Health Rankings 14.3 Harrison KY 0 10 20 30 2013 2014 2015 2016 2017 2018 Harrison KY 0 1 2 3 4 5 6 2015 2016 2017 2018 $123,700 Median House Value Children living in single-parent household between 2013 and 2018 ranged from 30 to 39 percent. Compared to Kentucky, children living in single-parent households during this time frame ranged between 33 to 35 percent. American Fact Finder County Health Rankings America's Health Ranking Kids Count American Fact Finder March 2019 WEDCO Health Equity Report HC KY 0 1 2 3 2013 2014 2015 2016 2017 HC KY 50 75 100 2013 2014 2015 2016 2017 < High School High School Some College & College Grad 0 10 20 30 40 50 60 2012-2016 KY % Under 18 Living in Poverty % Past 12 Months Income Below Poverty Level Ratio household income at 80th percentile to 20th percentile 15.6 Dropout Rates for Grades 9-12 % Population 25 Years and Older 4 Year Graduation Rates Open House Open House American Fact Finder

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Page 1: Harrison County - Wedco Health€¦ · turned out was 58.9 percent. O t h er So cial E n viro nm e n t Fa cto rs : D o m e s tic Viole n ce - N o Da tab a se Ava ila ble Vio l e n

Social Environment

Poverty

County Health Rankings American Fact Finder

Childhood Poverty Family Poverty Income Inequality

 U.S. adults with high school& some or college grad is

27.5 and 59.5 percent.

The U.S. Status DropoutRate was 4 percent

between 2013 to 2016.

The U.S. Graduation Ratefrom 2013 and 2017 rangedbetween 79 to 83 percent.

Education

Graduation Rate Dropout Rate Attainment (>25yr)

Harrison County

County Health Rankings

14.3Harrison KY

0

10

20

30

2013 2014 2015 2016 2017 2018

Harrison KY

0123456

2015 2016 2017 2018

$123,700

Median House Value

Children living in single-parent household between 2013 and 2018 ranged from 30 to39 percent. Compared to Kentucky, children living in single-parent households duringthis time frame ranged between 33 to 35 percent.  

American Fact Finder

County Health Rankings

America's Health Ranking Kids Count American Fact Finder

March 2019

WEDCO Health Equity Report

HC KY

0

1

2

3

2013 2014 2015 2016 2017

HC KY

50

75

100

2013 2014 2015 2016 2017 < High School High School

Some College & College Grad

0102030405060

2012-2016 KY

% Under 18 Living in Poverty  % Past 12 Months IncomeBelow Poverty Level

 Ratio household income at 80thpercentile to 20th percentile 

15.6

Dropout Rates  for Grades 9-12 % Population 25 Years and Older 4 Year Graduation Rates 

Open HouseOpen House American Fact Finder

Page 2: Harrison County - Wedco Health€¦ · turned out was 58.9 percent. O t h er So cial E n viro nm e n t Fa cto rs : D o m e s tic Viole n ce - N o Da tab a se Ava ila ble Vio l e n

Literacy affects a persons ability to navigate the health system and hindersdecision making regarding health. Research has found that adults who self-reportthe worst health also have the most limited literacy, numeracy, and health literacyskills (CDC). The last set of data collected at the state and county level  wasconducted in 2003. New data is needed to assess Harrison County accurately. 

The Employment Rate in the United States between 2013 and 2018changed from 58.6 to 60.4  percent. The Unemployment Rate between2013 and 2018 changed from 7.4 to 3.9 percent. 

Harrison County remained at the samelevel between 2013 and 2018. HarrisonCounty's percentage of residents drivingalone was higher than Kentucky exceptfor the year 2015 and 2018, whereHarrison and Kentucky were equal.   

Employment

% Voter Turnout (General Election)HC KY

2016

2015

2014

0 10 20 30 40 50 60

83%Harrison

82%KY

The number of registered voters for HarrisonCounty in the last general election of 2016 was

13,509. The percent of registered voter whoturned out was 58.9 percent.

Other Social Environment Factors:

Domestic Violence - No Database Available

 Violent Crime - The number of reported violent crimeoffenses per 100,000 population for Harrison County is 127.

Kentucky's violent crime is 215. 

County Health Rankings

Drive Alone to Work

Bureau of Labor Statistics

Literacy 

Vote

13,851Registered Voters

State Board of Elections

County Health Rankings

Harrison KY

2

6

10

2013 2014 2015 2016 2017 2018

Harrison KY

50

55

60

2013-2017

% 16 Yrs &  Older UnemployedAmerican Fact Finder County Health Rankings

% 16 Yrs & Older  Employed

Civilian Labor Force Employment Annual Unemployment

Page 3: Harrison County - Wedco Health€¦ · turned out was 58.9 percent. O t h er So cial E n viro nm e n t Fa cto rs : D o m e s tic Viole n ce - N o Da tab a se Ava ila ble Vio l e n

Environment

Air Pollution Drinking Water Violation Park Availability

Access to placesinclude parks and

recreational facilities. 

More data is need toidentify the accessibility

of county residents. 

In 2013 & 2016, foodInsecurity in the U.S.

changed from 15.8% to12.9%.

ACCESS TO.....

Healthy Food Transportation Exercise

Physical EnvironmentHarrison County

March 2019

County Health Ranking County Health Ranking ESRI Map Gallery & OpenStreets,  2013HC KY

0

5

10

15

2013 2014 2015 2016 2017 2018

HC KY

10

45

80

2014 2015 2016 2017 2018

2016

2017

Yes

2018

Yes

No

Avg. Daily Density of Particulate Matter

12.4%Harrison County Residents Live

Within 1/2 mile of a park

HC KY

0

10

20

2014 2015 2016 2017 2018

Feed America

CHR

% Lack Access to Food

CHR

% Access to Places for PhysicalActivity 

The World Health Organization (WHO) has estimated that thirteen milliondeaths annually are attributable to preventable environmental causes. Thereport also estimates that 24% of the global disease burden (healthy life yearslost) and 23% of all deaths (premature mortality) are attributable toenvironmental factors. 

Remoundou, K., & Koundouri, P. (2009).

WEDCO Health Equity Report

Page 4: Harrison County - Wedco Health€¦ · turned out was 58.9 percent. O t h er So cial E n viro nm e n t Fa cto rs : D o m e s tic Viole n ce - N o Da tab a se Ava ila ble Vio l e n

According to Walk Score, most errands can be run be accomplished by footin Cynthiana. Walk Score also rates Cynthiana as bikeable with a score of 58.

The city of Berry is car dependent and is found to be somewhat bikeable. 

Community Walkability

Next Steps:

There is a need for more data collection for Harrison County.A collaborative with county and city officials to initiate a

environmental health assessment is needed to judge thehealth implications for at risk populations. 

Per Capita Liquor Stores

Community Commons

Cynthiana Berry

The availability of alcohol is a factor oftenassociated with higher levels of alcohol

consumption and harm. Communityconsequences such as violence and crime

are most often attributed with higheralcohol sale outlets (Pereira, Wood, Foster,

Haggard, 2013). The number of liquor storesper 100,000 persons in Harrison County was

10.6 between 2013-2016. 

HC

KY

US

2013-2017

0 10 20Amer. Fact Finder

Aging Housing

Pre-1940

Scale from zero  to 100

Walk Score

Severe Housing Problems 

Overcrowding, high  cost, lack plumbing or kitchen

HC KY

0

10

20

2014 2015 2016 2017 2018

CHR

% with at least 1 of 4  problems

Page 5: Harrison County - Wedco Health€¦ · turned out was 58.9 percent. O t h er So cial E n viro nm e n t Fa cto rs : D o m e s tic Viole n ce - N o Da tab a se Ava ila ble Vio l e n

Preventative Health Care

Access to Health Care Providers

Primary Care Physicians Mental Health Providers*

Barriers to Health Care Services

Mid-Level Providers

Harrison County

March 2019

HC KY U.S.

0

5

10

15

20

25

2013-2017 2017

CHR CHR CHR

HC KY

200

5100

10000

2013 2014 2015 2016 2017 2018

HC KY

0

500

1000

1500

2014 2015 2016 2017 2018

HC KY

0

500

1000

1500

2000

2500

2013 2014 2015 2016 2017 2018

Access to Dentists

2355 2660

%  No Health Care Provider

KyBRFS &BRFSS Preval.

HC KY US

0

5

10

15

2013-2017 2017

CHR

%  Couldn't See Dr. Due to Cost

Delayed Healthcare

Report of those who don'tidentify one persons asa primary care doctor. 

No Primary Care Provider

Report of those in the past12 months who needed tosee a doctor but could not

because of cost. 

BRFSS Preval.

# Patients Per One Provider

Report of those who do nothave any health insurance

coverage. 

Health  Coverage

HC KY US

0

5

10

15

2013-2017 2017

KyBRFS 

% Without Health Care Coverage

BRFSS Preval. 

WEDCO Health Equity Report

2013 2018

HC HC

1802 1560# Patients / 1 Provider 1 1

KyBRFS

Page 6: Harrison County - Wedco Health€¦ · turned out was 58.9 percent. O t h er So cial E n viro nm e n t Fa cto rs : D o m e s tic Viole n ce - N o Da tab a se Ava ila ble Vio l e n

In Kentucky the schedule II-V prescriptions prescribe between1st quarter 2015 & 4th quarter 2017 increased from 596 to 653

per 1,000 persons. 

Prescribe Prescription Per 1,000 Persons 

Immunizations

Preventable HC

KY

U.S.

2013 2014 2015 2016 2017 20180

50

100

150

Access to Medications

KyBRFS

% Couldn't Get Because of Cost

Access to Preventative Services

KY US

0

10

20

30

2014 2016

KY US

010203040506070

2016

BRFSS Preval.

KYBRFS KyBRFS

KY US

10

40

70

2013 2014 2015 2016 2017

Alprazolam Buprenorphine/ Naxolone All Opioids Opioids BN

Hydrocodone Oxycodone Stimulants

0

100

200

300

HC 4th Q 2017

% 65 + Adults Had Flu Shot Past Year %  Children 19-35 months who didn'treceive age appropriate vaccines

CHR & Amer. HR

BRFSS Preval. 

KY US

0

10

20

30

2013 2014 2015 2016

KASPAR

State Health System Performance Scorecard 

Due to the small number ofresponses, Harrison County

statistic is suppressed. 

Breast Screening

Harrison County statisticsuppressed due to small

sample size.

Colorectal  Screening 

44 % Harrison Countyadults report no A1c testin past 3 years  between

2013-2017.

Diabetes Control

% 50-75 Aged Adults HadColonoscopy (Past 10 yrs)

% 40+ Women  Didn't HaveMammogram (Past 2 yrs)

KY US

0

10

20

2015

% 18-64 Aged Diabetics NoA1c Test (Past year) 

KyBRFS

BRFSS  Preval.  State  Scorecard

Hospitalizations

Per 1,000 Medicare Enrollees 

SUPRESSED

Page 7: Harrison County - Wedco Health€¦ · turned out was 58.9 percent. O t h er So cial E n viro nm e n t Fa cto rs : D o m e s tic Viole n ce - N o Da tab a se Ava ila ble Vio l e n

Data Information Sources

Page 8: Harrison County - Wedco Health€¦ · turned out was 58.9 percent. O t h er So cial E n viro nm e n t Fa cto rs : D o m e s tic Viole n ce - N o Da tab a se Ava ila ble Vio l e n

Data Information Sources

Page 9: Harrison County - Wedco Health€¦ · turned out was 58.9 percent. O t h er So cial E n viro nm e n t Fa cto rs : D o m e s tic Viole n ce - N o Da tab a se Ava ila ble Vio l e n